Andrew and Peggy Cherng Department of Medical Engineering, Division of Engineering and Applied Science, California Institute of Technology, Pasadena, California 91125, United States.
Chem Rev. 2023 Apr 26;123(8):5049-5138. doi: 10.1021/acs.chemrev.2c00823. Epub 2023 Mar 27.
Wearable sensors hold great potential in empowering personalized health monitoring, predictive analytics, and timely intervention toward personalized healthcare. Advances in flexible electronics, materials science, and electrochemistry have spurred the development of wearable sweat sensors that enable the continuous and noninvasive screening of analytes indicative of health status. Existing major challenges in wearable sensors include: improving the sweat extraction and sweat sensing capabilities, improving the form factor of the wearable device for minimal discomfort and reliable measurements when worn, and understanding the clinical value of sweat analytes toward biomarker discovery. This review provides a comprehensive review of wearable sweat sensors and outlines state-of-the-art technologies and research that strive to bridge these gaps. The physiology of sweat, materials, biosensing mechanisms and advances, and approaches for sweat induction and sampling are introduced. Additionally, design considerations for the system-level development of wearable sweat sensing devices, spanning from strategies for prolonged sweat extraction to efficient powering of wearables, are discussed. Furthermore, the applications, data analytics, commercialization efforts, challenges, and prospects of wearable sweat sensors for precision medicine are discussed.
可穿戴传感器在赋能个性化健康监测、预测分析以及实现个性化医疗的及时干预方面具有巨大潜力。灵活电子、材料科学和电化学的进步推动了可穿戴汗液传感器的发展,使对指示健康状况的分析物的连续和非侵入性筛查成为可能。可穿戴传感器目前存在的主要挑战包括:提高汗液提取和汗液感应能力,改善可穿戴设备的外形因素,以减少佩戴时的不适感和可靠测量,以及了解汗液分析物在生物标志物发现方面的临床价值。本文综述了可穿戴汗液传感器,并概述了为弥合这些差距而努力的最新技术和研究。介绍了汗液的生理学、材料、生物传感机制和进展,以及汗液诱导和采样的方法。此外,还讨论了可穿戴汗液传感设备系统级开发的设计考虑因素,涵盖了从延长汗液提取的策略到可穿戴设备的有效供电。此外,还讨论了可穿戴汗液传感器在精准医疗中的应用、数据分析、商业化努力、挑战和前景。